In all this talk of urns and ashes, I forgot to mention one thing…. I thought I heard him again. This morning, in waking…. I was in between waking and sleep when I thought I heard his snouty, snorty sneeze. Just once. Waldo sleeps downstairs and Rich is away, so I was definitely the only person in the room. The TV was tuned to CNN with the volume on low. I know, I know… sounds crazy… but it made me think of the mornings when I would lie in bed and listen to him in his…. He loved his big, plushy bed (“the Cadillac”) and, upon waking, would roll around in it and do his snorty, moaning dog thing. I used to love that sound. I’m glad I could hear it again, even if it was only in my head. Hopefully I don’t sound like a crazy person, but if I do…. Oh well, call the men in white, I suppose.
Thursday, August 30, 2007
Forgot to mention
Posted by Linda Seid Frembes 2 comments
Home Again
Watson is home again. I picked up his ashes at the vet's office around 5pm yesterday. I was holding myself together just fine until Carol, one of the vet techs, came around the desk to hand me the bag and gave me a hug. Carol just kept saying "no more bags for you" since she was also the person who gave us our cat's ashes barely two months ago.
Posted by Linda Seid Frembes 1 comments
Tuesday, August 28, 2007
Got the call
I got the call from the vet's office tonight. Watson's ashes are back. They called me at 7:30pm with an 8pm closing time but it takes me 40 minutes to get there. I will have to go get him tomorrow after work. I am happy to have him home, but not looking forward to the emotional deluge that is coming tomorrow evening.
Posted by Linda Seid Frembes 3 comments
Star light, star bright.....
When Watson first passed away, the moderator of the Canine Cancer forum sent me a link to this web page by Doug Coulter. We've had rather cloudy, gross weather here lately so I haven't had a clear night where I could do this exercise. Last night was our first clear night and... it worked... I saw Watson's STAR.
Of course he was on my mind as I fell asleep last night and on my mind first thing in the morning today. That has been my new normal since he left this world. I do miss my boy, especially during our nighttime ritual of preparing for bed.
About a year and half ago, Watson slipped while going upstairs and fell most of the way down. He was unhurt but quite shaken. Ever since, he was reticent to walk up the stairs by himself so Rich or I would carry him up. If he and Rich were to go upstairs first, then Watson would always wait at the top of the stairs for me, looking down to see where I was. So when I head upstairs for bed, I am still jarred by not seeing him in the doorway at the top of the stairs... waiting... looking for me....
So last night I looked for him and saw his STAR. I can't tell you how much comfort that is for me.
Posted by Linda Seid Frembes 1 comments
Monday, August 27, 2007
Dog Clothing (the Embarassing Years)
Watson was our only dog for 2 of the 2 years and 8 months he was with us. I grew up with dogs but lived without them from the post-college to the first-house years, roughly ten years in total. During that time, I would visit my mom's or my sister's dogs and wish for the day when I had my own place and no landlord so that I could have a dog.
Posted by Linda Seid Frembes 2 comments
Friday, August 24, 2007
Wicked Thievery
One of Watson's endearing but frustrating habits was his inclination to steal Waldo's rawhides and bully sticks. As noted in a prior post, Watson came to us with dreadful teeth. It looked as though he literally had never seen a toothbrush in his life. We did what we could to save as many teeth as possible, but ultimately one of his canines died and had to be removed. The surgery required that he be put under general anesthesia and kept at the hospital for the better part of a day.
Posted by Linda Seid Frembes 2 comments
Thursday, August 23, 2007
Feeding RAW
Posted by Linda Seid Frembes 2 comments
Wednesday, August 22, 2007
Slowly putting the sickness away
I took the advice from Lesley to just do one thing at a time… to start with removing the things that remind me of his sickness. The pill bottles are de-labeled and in the trash and the piddle pads are all gone. I still can’t bring myself to pick up the towels in the living room and unroll the area rug. The living room is where we spent most of our evenings… still not ready…. His dog bed is still sitting next to my side of the bed too. I visit his dog bed every morning just to get his scent… how sad is that? I’m like an addict sniffing for that last bit of crack….
Yesterday, I went to the local pet store to pick up some treats for Waldo, not realizing that I had not updated the owners of Watson’s passing. “How is everyone in the household?” they cheerily asked. I had to recount his last week on earth and I could barely keep myself together. For the most part, I have been able to resume the activities of a normal person – sleep, work, care about what’s for dinner – or so it seems from the outside. But there are many times when I feel like I am out of my body. Janice, one of the pet store owners, said that I could always come and cry with her since she knows that most people don’t “get it”; that most people think dogs are dogs and not as important as people. I’ve lost several people in my life, including my parents, and I can easily and honestly say that the hurt and devastation of losing the Old Man isn’t any less….. that sounds ludicrous to most considering that I was very close to my mom, in particular… but loss is loss… and there are no levels of grief in my heart reserved for humans versus canines.
So as I sit at my desk and try to care about my world again, I can’t help but look down and miss the Old Man. He was always nearby – lying on the floor next to my chair, behind me asleep in one of many dog beds. At times, he would wander down the hall to sleep in the living room. Every now and then when he awoke from a nap, he would stick his head out of the doorway and look down the hall to see what I was up to. If the scene met his satisfaction, then he would turn around and go back to bed. If it didn’t, then he would come over to check on me more closely. I miss that very much…. My doorways are very empty now.
There is also one song that keeps reminding me of the Old Man and greatly reflects how I’ve been feeling of late. Let’s hope I find myself soon…..
"Crystal Ball" (Keane)
Who is the man I see
Where I'm supposed to be?
I lost my heart, I buried it too deep
Under the iron sea
Oh, crystal ball, crystal ball
Save us all, tell me life is beautiful
Mirror, mirror on the wall
Lines ever more unclear
Not sure I'm even here
The more I look the more I think that I'm
Starting to disappear
Oh, crystal ball, crystal ball
Save us all, tell me life is beautiful
Mirror, mirror on the wall
Oh, crystal ball, hear my song
I'm fading out, everything I know is wrong
So put me where I belong
I don't know where I am
And I don't really care
I look myself in the eye
There's no-one there
I fall upon the earth
I call upon the air
But all I get is the same old vacant stare
Posted by Linda Seid Frembes 3 comments
Monday, August 20, 2007
What dog is this? (The Beginning)
As many of you have counseled me, I must concentrate on the good memories so as not to drown in my grief. In times of stillness, my thoughts return to the first time I met Watson. I first saw him on the Beagles of New England States (BONES) rescue web site (pictured here). He seemed very much an elder statesman.... there was something about him that I instantly liked.
Once the excitement subsided, I took a closer look at him. He was an odd duck. He wouldn't sit; his only modes were stand and lay down. (We would later find out that his lack of sitting was due to infected anal sacks - ouch!) He was found wandering the streets with another dog, both showing signs of abuse and neglect. There were scars on his ears from fights with other dogs, as well as permanent partial paralysis on the left side of his face because of too many hits from his right-handed owner.
In fact, as time passed, Sparky and Watson would share a bed. I have many photos of them together in the dog bed. They were like 2 Tetris blocks that were constantly trying to fit together. No matter where I would move that bed, they would follow it like zombies and both try to lay on it at the same time.
Posted by Linda Seid Frembes 4 comments
Saturday, August 18, 2007
Cleaning up - what do I do with this stuff?
I slept through the night last night, for the first time in a month. After Watson's diagnosis, the regular vet put him on prednisone so we were heading outside every 2 hours around the clock.... and even when he was being weaned off the pred, I got 4 hours of sleep at a time at most. But I fell asleep thinking of him and woke up thinking about him.
Throughout my house, I see remnants of his sickness everywhere - the puppy training pads upstairs so he could wake up dry, the needles for sub-q fluid and syringes of metaclopromide on my kitchen counter, the bits of food in my refrigerator that was cooked for no one but him. What on earth will I do with the Metamucil and fish oil caplets and milk thistle tablets?
There is so much to do and I don't want to do any of it. We rolled up our good area rugs and put down towels and cheapo rugs when Watson was having explosive diarrhea. Part of me wants to restore our home to normal.... but part of me thinks it's too soon. After a month, I've gotten used to the towels on the floor even though they are not the finest choice of interior decor.
What to do with all this? I'm not sure yet....
Posted by Linda Seid Frembes 4 comments
Friday, August 17, 2007
Epilogue
I am nearing the first 24 hours without my bubbe (which I recently learned means “grandmother” in Yiddish - how fitting, I guess) and it’s the hardest time I’ve had in a long while. I awoke this morning around 3:30am with a start. I could have swore I heard Watson at the water bowl and picked my head up to see if he needed anything. I was confused to see an empty space where he should have been standing. And then my sleep-haze cleared and I remembered.
I woke again around 6am very upset. Not sure if I was dreaming, but I woke up with the thought that I was already starting to forget him. I asked Rich to start telling me all that he could remember so that I could too. I wanted to keep a mental list until I could write it down…. We went back and forth for a while; I was crying the whole time. And then he said “the good memories will come to you in time”. And that is so true…..
I packed Baby Waldo off to doggie daycare today so that I could spend some time alone. I went wandering around the mall to be among the living. It was odd to see so many people about… I wanted to stop them and ask how to keep going. How can you care about shopping when I have just lost my best friend??? Bloody hell….
And in the car, I swear that I heard him sigh. NPR talk radio was on and I was in traffic… it was ever so brief… *sigh*… I almost turned around to see him but couldn’t since I was on a curvy part of the road. But I was afraid to turn around and know I wouldn’t see anything….. my heart would break all over again and I can’t take that right now. Is he trying to tell me that he is still near? Maybe. I can tell myself that to get me through the next minute. I hope he is near so he can see how much I miss him, so he can see how much I wish he were still here, so he can see that I haven’t moved anything of his because it will be a while before I am ready to admit he is gone.
I would like to take a page from Graham’s book and share my memories of him with you. Perhaps you will find it interesting; perhaps not. But I introduced him to you when he was at his sickest… and I want everyone to see the whole picture. I want to bring the story full circle so that people now and in the future will know him… all of him.. and not just the part that was sick and fought back but lost.
I will work on that in due time. For now, I will miss my boy with every cell in my body.
Posted by Linda Seid Frembes 3 comments
Thursday, August 16, 2007
And part of me did shatter....
Tonight I lost my best friend, my truest friend... the one who could just look at me and see how I felt... the one who never asked me for anything but my attention and my presence. Tonight, August 16th at 6:42pm ET, my Watson crossed the Rainbow Bridge.
As you all know, I have struggled with every step of this journey from the moment we found out he was ill. Never once did I lose HOPE until today. I just armed myself with information and, knowing that Watson would follow me to the ends of the earth, I moved ahead.... speaking with specialists and other parents of other canine cancer survivors.. gathering HOPE and strength and knowledge to move on to the next day.
To Ilene and Anne - thank you, Marie-Alice who sent me her chemo diary that I was so afraid to read for so long, to Linda L. and Pam for their work on the Canine Cancer board, to Graham and Prince and Tilly and Lesley who reached across an entire ocean to touch my hand and tell me it's okay, to Sue & Keesha in NJ who I swear answered every post I wrote.
To Marty, Debbie, Cathy, Darlene, Gloria, Rebecca, Lesley M., Rita, Cath, Eric & Jennifer, Marsha, Yukie, and all the others who I am sure I missed but didn't mean to, who gave me nothing but encouragement and advice on the darkest of days. Thank you THANK YOU for all of you who I will never get a chance to meet but will still be eternally grateful. If I could give each of you a hug, I would.
For my dearest human friend in the world, Miss Melanie M. who lets me call her at work out of the blue to cry and cry and cry. Who carries the weight of my problems on her shoulders even though she doesn't have to.. who prays for me when I can't.... who is always first in line to tell me that I have done all I can and that I need to stop my stupidly ambitious drive to right the wrongs of the world before I drive myself crazy!
And to Rich Frembes, my husband who never flinched at a vet bill, who never once said to give up, who opened his heart to this dog even though he had never owned a dog before.... who took his marriage vows to heart when he said through thick and thin, better or worse....
When we arrived at the office, I learned that my vet had consulted with the onco and concluded that this path was best for him. I needed that reassurance even though in my heart I knew it was time. He went very peacefully. I was holding his sweet little face and looking him in the eye until the last moment. Then I stayed and hugged him until I knew he was gone...
I hope that this post was readable... and that you don't think it's weird that I am writing it just a few hours after he is gone. But I am a writer by trade, and this is my release. My release of my pain, his pain, my fear.... he is at peace now and that is all I ever wanted for him.
I will always ask myself if I did enough, if there was one more thing I could have tried, if there was something I missed that would have made a difference... I will always ask because I wanted to do right by him. And I miss him terribly right now.... my heart is so empty...
I will keep this blog up as a tribute to my sweet Watson, and as a resource for anyone out there who needs to know the rollercoaster..... and how quickly the ride can end. Thank you again for the cyber hugs and love, and the positive energy that can be sent between otherwise perfect strangers.
For those of you who are continuing the fight against this horrible beast, you have my admiration. Your strength and dedication to your furbabies is awe-inspiring.
Posted by Linda Seid Frembes 10 comments
dark day
So I just spoke with Watson’s regular vet about his inappetance (he’s had 1 ounce of baby food and a forkful of tuna today) and she says that, unless we can indentify an underlying cause to his lack of eating, then there is nothing else to treat. Then it becomes a quality of life issue. She says we can go the feeding tube route but I will not do that to him….
I also called the onco who did not have encouraging things to say….. the purpose of tomorrow’s visit would be to determine the next course of treatment. It is not an encouraging sign that he is nauseous/not eating 3 weeks after chemo. That means it’s not the chemo so something else is causing it; that something else could be other organ involvement, the spread of his disease, or something totally different… The chemo drug options are either more aggressive drugs to trigger a longer-lasting response (but may make him more sick), or drugs that are less effective but may help manage his condition.
But there is no cure, and we would be right back to where we are right now in a matter of weeks. Yes, MAYBE months… but most likely weeks. I do not want him to suffer… and as I look down at my feet and see him too tired to lift his head when I pet him… my gut tells me that the end is near. He is tired and not feeling well, not eating despite drugs… and I never, ever want to repeat the weekend we had last weekend. He will never be whole and strong again… and I can’t sit here day by day and watch him waste away. He has not had a real meal in a week. Should I wait until it’s two? Or three? No. no.
Rich is calling the regular vet back since I’m not sure I could hold myself together to sound lucid. I am sitting here as still as possible because if I move, I am afraid I will shatter into a million pieces.
Posted by Linda Seid Frembes 2 comments
baby food
The Old Man awoke for a bathroom break and I was able to get 1 ounce of baby food in him before he tired of it. While outside, he walked a short jaunt around the yard and seemed really interested in smelling everything. Rich left Waldo’s crate in the driveway beside my car so he was very interested in checking out every inch of this seemingly foreign object. He’s back in my office now, laying flat out on the floor. Still waiting a call from the local vet before I run to the market.
Posted by Linda Seid Frembes 0 comments
Sleeping like a stone
Watson has been sleeping deeply for the past hour and a half. He looks relaxed as he is laying on his side. I haven’t tried to feed him and will wait until he is awake on his own. Still waiting for a call from the regular vet, and have posted a question on the Canine Cancer board about appetite stimulants. I still need to Google these medications and read more about the side effects, etc. I don’t like the option of turning to more pills, but I am not sure what else to do. At least he is keeping down whatever is passing his lips. I just wish he would eat.
Posted by Linda Seid Frembes 0 comments
"First we have Hope, then we have treatment. "
The real title of this post should be “poo at 3am”. I awoke to the gentle sounds of him lapping at the water bowl only to look about and quickly realize that he had left us a present on the rug. Twenty-five minutes of Bissell-ing later, we were back to bed. Again awoke this morning around 7am to the sounds of him pacing the room, needing to go outside for a wee. Back inside, he wasn’t interested in any food (egg, chicken and risotto, dog cookie, toast).
As an aside, he perked up last night and was interested in a smorgasbord of food – he ate a 1/4 can of tuna, 2 spoons of Graham’s suggestion of chicken and risotto, and some crust from my tuna sandwich. In total, that was a good amount of food for him and I was relieved. I had Rich try to feed him since I think I was presenting myself as more nervous than anything. (Could it be that he just doesn’t need as much food as I want him to eat??)
Back to this morning, I gave him a shot of sub-q Reglan 5mg at 7:30am and waited. He was interested that Rich and I were eating breakfast, but didn’t really want anything from our plates. I do notice that he is drinking a ton of water, more than usual. He’s keeping it all down (good) but the volume has increased (bad?). About an hour after the shot, I was able to give him a 10mg Reglan and his metronidazole in a pill pocket. Otherwise, still no interest in eating real food… it’s been 2 hours post-shot and 1 hour post-pilling and nothing.
In short, here’s the summary of last night and this morning:
GOOD
- ate food last night
- still alert and interested in where I am/we are in the house
- stole the bully stick from Waldo and brought it into the other room
- seems to be resting comfortably after the Reglan (no fidgeting, moving about from bed to floor and back)
BAD?
- still doesn’t want to eat today
- volume of water intake has increased
- laying “flat out” rather than a more relaxed position
Trying to concentrate on work and not get anxious about it all. Still though, I left a message for our regular vet to see what I should do, if anything. We have an appointment with NEVOG (oncologist) tomorrow morning at 11am, about which I am already nerved up and worried about.
I do want to mention that, of all the support we’ve gotten, there is one person who never gets enough credit. My sister, Helen, is always the first to offer her care and skills as a nurse to help me out/calm me down. This is true during crisis situation and non-crisis situations. She wrote me last night: “Can you mention in your blog that you also have another sister that supports you and would do that for her pets too? I rushed a dying hamster (Scamper) to the vet hospital in Jackson at midnight when she was bleeding. Unfortunately, there is nothing to do for bleeding rodents in Mississippi in 1986. So, she had a great funeral and is buried by the Reservoir in Brandon, MS.” Helen, of all people, understands my need to help him as much as possible. Not that others out there like Graham (Prince and Tilly’s dad) and the folks on the Canine Cancer board do not, but it is comforting to know that a family member also supports your efforts and beliefs. Without that support (from family, from those around the world who have written me, and of course the calming, loving support of my husband), I couldn’t have kept myself together to care for him. A million times over, thank you.
Posted by Linda Seid Frembes 0 comments
Wednesday, August 15, 2007
Need a liaison
After three calls – to Tufts, NEVOG and the regular vet – and finding out that NEVOG didn’t receive the CBC results from Monday so that can’t give me a clear picture, I am frustrated. Got the regular vet to fax the report over and got a fairly quick return call from Dr. Cronin. She says that, at this point, it’s not the chemo that is making him sick/nauseous. Any nausea from the chemo usually occurs in the first week. The current bout of nausea could be part of the disease but it also could be left over from the GI distress. We have an appointment to see Dr. Philibert at NEVOG on Friday morning at which point we’ll have a clear idea as to what our next step will be.
After I got off the phone with her, I called Rich at work to have a brief crying jag. I am so upset that Watson seems nauseous again… I am adamant that he not vomit and start the cycle that we had this past weekend. I don’t ever want to see him that miserable again (nor do I ever want to see black vomit again). Am I overreacting? Perhaps… but perhaps not. I will be wishy-washy like everyone else.
I tried to give him the 10mg Reglan pill wrapped in a pill pocket, but this time he wouldn’t take it. Luckily, I still have 4 of the Reglan syringes that were given to me by our local vet on Saturday. I administered 1 syringe of 5mg/ml sub-q; he seemed annoyed at being poked, so I will observe and see if he needs a second or not. I’m unsure if 10mg in the tummy is more or less effective than 5mg under the skin. Again, not a doctor or a nurse… but sadly, giving sub-q shots are getting easier for me. I remember having to give our cat, Sparky, his sub-q fluids (due to renal failure) a few years ago. Each time I did it, I would sit there and cry while he got his fluids. Now, after doing sub-q again on Watson… it’s just like riding a bicycle (as sick as that sounds).
Just got a call from the local vet. I should be seeing improvement after the sub-q shot. If no improvement by the second or third, then it’s time to worry again. We’ll see if he perks up. I’ll be hanging onto my sanity by my fingertips this evening…..
Posted by Linda Seid Frembes 1 comments
damn it... eating grass again
I just took Watson outside for a wee and he started eating grass again. NOT a good sign… means that he has stomach upset or is nauseous. We absolutely cannot start this cycle all over again… Just called NEVOG and am waiting for a call back to see if I can start him on Reglan again. Not sure if there are drug interactions with the metro or the sucralfate so don’t want to medicate him without clarifying first. Luckily I have the Reglan from before and can start him on it ASAP as soon as I know I can.
Very sad.. and frustrated. The Old Man needs a break. We started him in this journey with the hopes that we could give him QUALITY days; not quantity. I know that so far the good days have outweighed the bad, but the balance is tipping dangerously close to the middle. I am no longer fearful of letting him go… I just hope that I am strong enough to see him through to the end. I hate to see him suffer, even a little bit, and I admire those who can see the big picture without getting mired into the tiny heartbreaks that happen when their dog doesn’t eat, or when they are sick to their stomachs, or when they are too lethargic to lift their heads, or when they are so thin they can’t stand straight by themselves. Watson isn’t at the end stages just yet, so you can see that my fear and imagination get the best of me sometimes.
Posted by Linda Seid Frembes 0 comments
Success!!
Okay, so a small success today. Those pill pockets do work. He awoke from a deep sleep to take his sucralfate pill, wrapped up in a squishy chicken pill pocket. He still doesn't really want to eat any real food, so I am trying not to get upset or frustrated. He did eat a fairly good amount of chicken, rice and egg this morning... and if you spent 4 days feeling sick and bleeding from both ends, then you'd take it slow with the food too. Gotta remember that.....
Posted by Linda Seid Frembes 0 comments
Zzzzzz.....
The Old Man slept like a stone for the past four hours. He awoke for a water and wee break, but is not interested in having any lunch. He had a relatively big breakfast and has kept it down so far, so I will take that as a good sign. I even offered him some mac and cheese (my lunch) but nothing. I got a *sniff* and a *huff* and he walked away.....
Still need to get my arse out to the pet store for those pill pockets. Finished writing an install article so now I am free for the rest of the day. Perhaps I will take Waldo along for my retail jaunt. Anyway, I should stop writing of all sorts so I get those #$%)*#$ pill pockets and get his sucralfate in him.
More later.....
Posted by Linda Seid Frembes 0 comments
Feeling better
Posted by Linda Seid Frembes 0 comments
Tuesday, August 14, 2007
I see your boiled chicken and raise you one ground sirloin...
I went to the store and have armed myself for now and future canine culinary needs. Tuna? Check. Rice? Check. Ground beef? Check. Rich went to the market yesterday and got the cottage cheese. Check. However, my recent attempt at boiling beef and rice was met with mild interest. The site of ground sirloin floating around in a pot with rice sort of made me queasy so the least he could have done was have more than 3 bites!! Again, trying not to panic... he's still drinking lots of water and keeping it down, so I will consider that a major victory.
Posted by Linda Seid Frembes 1 comments
Eat, damn you....
The Old Man is resting comfortably but still not really eating. He's had a few licks and bites of things, but isn't all that interested in actually eating like a normal dog. So far, I've tried toast (a few bites), cottage cheese (no thank you), boiled chicken (*sniff*), and even a scoop of Innova EVO wet food. Oh, and for those who are wondering how I have to time to parade this buffet of blandness across his nose, I work from home and have very wonderful clients who don't micromanage. If I get my work done on time, then it's all good.
Got a call this morning from Dr. Delbecq, our local vet. She says to let him nibble today and don't fall into the trap of offering richer foods. She says that dogs can maintain their blood sugar over the course of several days, so there is no high risk of him becoming hypoglycemic if he doesn't eat soon. If he hasn't eaten anything significant by Thursday morning, then I will need to give her a call. Otherwise, I should continue to offer him the bland foods and try not to get offended that he doesn't like my cooking.
Posted by Linda Seid Frembes 0 comments
So far, so good
It's been a quiet morning so far. Watson slept like the dead last night and it literally took me 10 minutes to get him out of bed. He's kept down every drop of water that has passed his lips, but has only minimal interest in eating. We had to pill him this morning so I will count all that wrestling about the floor as my exercise for the day!
There has been some straining to produce solid waste, with some specks appearing but nothing substantial. Dr. Evason warned that this stool will be soft for the next few days, so I think he is just clearing out what was left in his colon. He's resting comfortably and as long as he stays hydrated, then I am hoping that the appetite will come along shortly.
No word from NEVOG yet on when he can go for his next chemo treatment.
Posted by Linda Seid Frembes 0 comments
Monday, August 13, 2007
!!!! He's HOME !!!!
As soon as we arrived home, he had several visits to the water bowl as I was boiling up some chicken for him. He had a few bites of chicken and homemade broth before retiring to bed. Over the next few days, he can look forward to bland meals and plenty of rest. He's also on oral metronidazole and sucralfate for the next 5 days.
His next chemo treatment was supposed to be tomorrow, but I have put that off for now. The abdominal ultrasound showed nodes on his spleen (which we knew) and enlarged nodes in his intestinal tract. Dr. Evason said that could be from the inflammation or from lymphoma. Hard to know for sure.
Either way, I am so happy to have the Old Man home, resting comfortably in his little bed.
Posted by Linda Seid Frembes 1 comments
Monday morning hospitalization update
I also called NEVOG to cancel his chemo treatment for tomorrow. I haven't specifically been told, but I would guess that he needs a few days of food and rest before being subjected to a round of chemo. Unlike human doses that make you sick right off the bat, canine chemo is a lower dose so the effects are not as dramatic. However, those drugs do target fast-growing cells in the body like cancer cells, skin, hair and GI cells. Again, I don't want to get him healed up only to start this cycle over again so quickly.
I plan to visit Tufts today around 4pm to see the Old Man and to discuss his ultrasound results with Dr. Evason. Keeping my fingers, toes, paws and claws crossed......
Posted by Linda Seid Frembes 0 comments
Sunday, August 12, 2007
Sunday evening's hospitalization update
We got to spend some time with him in an exam room before the doctor came in to speak with us. He was much more alert and stable on his feet although he was emitting a foul fragrance from the rear and was still licking his lips (sign of nausea). Dr. Evason said he was doing much better and his stool was more brown with less blood and mucous (but still watery). He will stay another night and have his ultrasound tomorrow. That should tell us if the bleeding is an ulcer or is due to the lymphoma.
Overall, it was a very good visit. I was so very happy to see him up and about. He was eager to follow me out the door to the waiting room, so I had to do the fake-out and pretend like I was going with him back to the kennel area.
My spirits are lifted; temporarily, I know, but I'll take it. There are still larger questions like the timing of his next chemo treatment, how we will feed him without using rich foods, how we can control the nausea, etc, etc. Honestly I can't think of these things right now... I'm just picturing my Old Man standing in the hallway when they opened the door.... and his tail wagging despite being wrapped from end to end.
With this I will head upstairs to bed. Thanks to all for the love and support sent our way this weekend. Until tomorrow......
Posted by Linda Seid Frembes 1 comments
Hospitalization update
Got a call this morning from Dr. Michelle Evason, internal medicine specialist at Tufts, with an update on the Old Man. He's doing better this morning. The IV fluids have helped his BP and heart rate come back to normal. The biggest issue is that he is still bleeding out the back end. They have him on Anzement for nausea (stronger than the Reglan) and metronidazole (antibiotic, also known as Flagyl). Dr. Evason added Sucralfate, an ulcer medication that coats the intestinal tract to protect the wound from stomach acid and enzymes.
I must have misunderstood the doctor last night about the ultrasound. They don't do ultrasounds on the weekend, so the next big development will not be until Monday when they can have a look at the cause of the bleeding.
We'll go see him this afternoon after we take care of some things around the house. More updates to come.
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Panic - Watson was admitted to Tufts ER
I called my vet hospital to get the number of the ER, which is Tufts VETS (Veterinary Emergency Treatment & Specialties) in Walpole. Tufts VETS is affiliated with Tufts University Cummings School of Veterinary Medicine. He was very lethargic, especially after the black vomit episode, and had to be carried to the car. He had one more vomiting episode in the car. It's a rather long drive to Walpole from where we live (about 50 minutes) so I was thankful that nothing more dramatic happened.
Rich drove, and I am glad he did. When we got in the car, I was so panicked and upset that I couldn't remember how to get where we were going. I just kept imagining the worst and I knew in my heart that Watson, my best bubbe, was not coming home with us.
When we got to Tufts, he didn't even lift his head. Rich carried him, blanket and all, into the ER. The staff there was great from the beginning. They saw us carry him in and immediately got a stretcher to come get him. They prioritize their patients in the ER, so we got to go ahead of people who were waiting there for less critical matters.
Shortly after I filled out all the forms, a vet tech came out with a black trash bag and asked if we wanted our blanket back. I was confused as to why it was in a bag, but in my frantic state I said "sure". Well, I'm glad Rich clarified.... Watson had had an episode of bloody diarrhea all over the binkie. I was later told that it was mostly blood (again, I am glad the doctor waited until I was sitting in an exam room to tell me that since I would have freaked out earlier).
We waited for nearly 2 hours as they worked on him. When we were called in, Dr. Rutter sat us down very calmly and took a history. She then outlined his condition - he has severe GI distress, causes unknown. It could have been the prednisone; it could have been the foods he was eating (like beef and salmon that, although boiled, are still rich for a dog's GI system). His heart rate was 200 when he came in but after some fluids, it dropped back to a more normal 120. She said it's not a situation to lose hope over, but not to be fooled - he is very sick. But if we can get him through this, then there is a high chance that he can continue his chemo and have more quality time on this Earth. However, the most immediate battle is to find what's causing the bleeding and get it to stop.
We got to see him before we left the ER. He was in one of their big kennels, laying all flat against the floor. He had an IV in one arm and a catheter. His eyes were squeezed shut and he looked so very small lying there by himself. They opened the cage and I got down on hands and knees to give him a kiss. When I put my hand in front of his nose, he immediately opened his eyes and tried to lift his head. I put his little head in my hands and told him I loved him over and over. He looked so very exhausted... I gave him a kiss on the nose and said good night. They promised to call if anything were to happen. I asked that should he take a turn for the worst, that we have a chance to get there before we had to let him go. Thankfully, no call in the middle of the night.
He has an ultrasound and a consult with the internal medicine specialist today. They usually call before 12 noon, so I have the phone glued to my side. We will get to see him at some point, but there are no set visiting hours. We need to call ahead and make sure it's okay to come.
Rich had been so good throughout this ordeal. Although Watson is part of "our" family, he's really "my" dog. Watson would follow me off a cliff and he trusts me to do the right thing for him. I struggled with deciding on chemo or not, and now am faced with critical decisions that literally leaves his life in the balance. How do I weigh all that on a scale? Right or wrong? Through what scope do I make these decisions for him - love? Love is inherently selfish. Of course I want him here. I woke this morning to his empty bed and I wept even though I know he is alive and in the hands of top-notch medical professionals. Money? Rich and I have good jobs and, luckily, are spendthrifts. Watson's medical care will not put us in the poorhouse.
So how do I make these decisions for a loyal being who trusts and loves me unconditionally, but cannot talk and tell me what he wants. If someone has the answer, please tell me.
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Saturday, August 11, 2007
Can we just catch a break?!?!?
On the 40-minute drive to the vet's office, Watson managed to retch once but not actually produce anything. He was weak and a bit disoriented so I had to carry him up the front steps and into the exam room. In all, he's vomited about 8-9 times so far today. Dr. Delbecq, our regular vet, was working today; she usually has Saturdays off but had switched with her partner since his daughter was getting married today. Anyway, it was good that it was her since she's been his vet since we adopted him.
She ran an in-house CBC and his workup came back all in the normal ranges. Her in-house capabilities do not show individual breakdowns under specific categories like white blood counts, but the overall picture is that his blood is fine. And because I didn't actually see him ingest a rawhide or pork chew, we had to assume that this GI distress is just a mystery.
She took extra blood to send out to a lab for a full CBC; results will be back on Monday. She administered 300ml of sub-cutaneous (sub-Q) fluid while we were there and gave him an injection of 5mg/ml metoclopramide (Reglan) and 10mg/ml famotidine (Pepcid AC). She sent us home with fluid that I will need to administer tonight and tomorrow, as well as several shots of each of the aforementioned meds to get us through the weekend.
He vomited once more when we got back home, and now seems restless. He's lying in his bed but keeps lifting his head every 30 seconds. I'm not sure what that means, or if it means anything really. He still has a small pouch of fluid that has drifted to his left side, so that may be making him feel weird when he lies down.
So here we are with a beautiful Saturday almost at an end. I wish we could just catch a break so that I can catch a glimpse of summer before it's over. We lost our cat, Crusty, on June 29th, so it seems like illness has hung over our family for a few months now. Between the sick pets and trying to run a business, I feel stretched thin and nearly transparent.
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Off to the vet's again
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Ick.
It was a rough night for all. Turns out that Watson's latest bout of lethargy and gastritis is a result of his scavenging a pork chew from the little basset. I swear I had picked up all the rawhides and pork chews, but he must have found a remnant somewhere. (Damn that hound nose!)
The vomiting began around 4am and has continued through the morning. From what I can gather, it looks like he may have swallowed a small piece that's been churning in his stomach all day yesterday. That would explain why he was not eating yesterday and I do regret giving him his usual dose of Reglan, which may have delayed the vomiting. Mind you, if he were not a cancer dog, I would be scolding him and telling him "TS for you; you did this to yourself!" But since he obviously has much bigger problems, I am only shaking my head at him and perhaps wagging a finger when he is not looking.
I've put a call into NEVOG to see how I should treat him. Judging from the smell, his stomach is quite sour at the moment. He's wanting water, but can only hold it down for about 30 minutes. Usually you are supposed to fast a dog who has stomach upset, but again with the cancer, I am not sure what I should do. I'm waiting for a call back from the vet.
And thank goodness for the little green Bissell. This mechanical miracle makes cleaning up all manner of canine fluids so much easier. If you have a pet, you must absolutely have one of these!
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Friday, August 10, 2007
Speaking of that pain in my gut
So it's closing in on 7pm and Watson has not eaten since breakfast this morning. I tried to leave him alone for most of the day, but as of a few hours ago, I decided to try and feed him. No luck. The good news is that he is still drinking water so dehydration is not an issue. But since he is not eating, I tried to syringe feed his Reglan to him with only 50% luck. I ended up wearing at least as much went down his throat. I'm waiting for Rich to get home from work so we can wrestle him long enough to get the pill into him. In the meantime, my fridge is piling up with Tupperware containers of ground turkey, beef, boiled chicken, and various bits of fish.... oh, and hot dogs.
I'm still trying not to panic. The good folks on the Canine Cancer Yahoo group are telling me to wait a few days to see if he perks up. A few days? I know what they mean, but like I said before: it seems like there are good seconds and bad eternities. For anyone who is reading this, please say a prayer or light a candle or send a positive thought out in the universe for Watson. Everyone in the Frembes household needs as much positive energy as we can get.
P.S. A hello to Graham's mum/Prince's grandmum who has started reading this blog. I thank you for your interest and Watson did get his extra kisses. It's good to know that Watson has friends across the pond!
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Can't party like we used to
So, we had Rich's co-worker over for dinner last night. He's visiting the office from his home base in Vegas so we thought it would be good to treat him to a home-cooked meal. With all the activity of a guest, Watson is completely tuckered out today. Mind you, Watson basically spent alot of time standing and staring but that is alot of activity for him.
As a result of the tiredness, he didn't drink enough water overnight and actually slept all night and woke up dry. While I should be happy about the dryness, it may mean that he's dehydrated. He's back to being lethargic and not eating this morning. I try not to panic when this happens, but I always get a pain in my gut when he turns his nose up at any food. So far, I've offered chicken and salmon with no success and beef with limited success. Then again, I also forget that he's allowed to be picky and his disinterest could be nothing. However now that I look at his actions through a cancer lens, it changes how I (over)react to everything.
Today is the first day that he is off prednisone for good. The pred was good at propping up his appetite so I may have more these days ahead of me. Better stock up on my meats now....
I just posted a cute video of Watson from Wednesday. He had stolen Waldo's bone and was searching the house for a place to hide it. Click here to see the video of Watson "burying" his bone. (FYI - the file is an 18mb AVI file.) Enjoy!
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Thursday, August 9, 2007
Made it to the mailbox, part 2
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My two boys
I love this look on Watson's face. He will often look at Waldo this way since the baby sometimes doesn't pay attention to personal space. Classic.
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Yummy chicken
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Wednesday, August 8, 2007
Watson in the Caddy
Here's a photo of Watson in his favorite bed last night. Usually this bed is kept upstairs (away from Waldo the destroyer), but he was feeling so blah yesterday that I brought it down for him. We call this bed "The Cadillac" since it cost about as much as a car, and it's awfully plush. He sinks into it when he get in it and wedges himself against the bolster. I do love this face!
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One second at a time...
So, the Old Man slept peacefully last night. Did the usual middle-of-the-night bathroom break which he still seems to need. After three doses of the Reglan, his stomach seems to be wanting food again (HUGE relief). He had a good breakfast of people food (tuna salad and boiled chicken) and I just made him a cubed steak. Although he is not wanting dog food at the moment, I'm still happy that he's willing to eat something.
Now that he is fed and settled down, I have to really concentrate on work today. Taking care of him can sometimes feel like a full-time job, which is unfortunate since I already have one of those.
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Tuesday, August 7, 2007
Tuna pasta salad, who knew.....
So, I made some tuna pasta salad for dinner and it seemed to be a hit.... with Watson. He had several scoops and then was begging for more when I was eating. (After all, who doesn't like mayo and tuna?) It seems like the Reglan is doing its job and that sleeping all day has given him some pep tonight. He's resting comfortably now with a Tivoed version of the Daily Show blaring in the background. His next dose of Reglan should come around midnight since it's every 8 hours, but we may cheat a bit and give it to him early since I hope to be dead asleep by then... Anyway, today was another one of those rollercoaster days that unfortunately started out going straight down. My hope is that tomorrow morning will be much better.
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Perking up
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Not a good morning...
I am trying not to panic. We are stepping down his prednisone (now at a quarter-tab or 5mg) so I knew it would affect his appetite. But he is so very lethargic this morning. I wrote to the Canine Cancer forum asking if this is normal or if I should be panicking….. I am trying to hold onto positive thoughts but some days it is harder than others.
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Monday, August 6, 2007
So true.....
We long for an affection altogether ignorant of our faults. Heaven has accorded this to us in the uncritical canine attachment. ~George Eliot
catching up from the weekend
Okay, so haven't posted in a few days. Rich has been away to see his parents, so trying to keep up with 2 sick dogs (baby Waldo has a GI issue) and other household goings-on have been hectic. Melanie came over for the weekend to go kayaking with my friend Kathy and Kathy's friend Rose on Saturday; Sunday afternoon was a PawSox game.
Watson did well over the weekend - no major accidents besides a few piddles here and there. I was away from home more than I have been in a few weeks but I tried to get home every 3-4 hours to let him out. We are down to 1/4 tab of Prednisone, so hopefully the frequent bathroom breaks will subside once he is totally off of it. I do hope, though, that the appetite stays. He's been eating really well throughout the chemo process so far and is even gaining weight. Sunday, I took him for a walk down the street (along his favorite route) and he seemed to have a good time. He did well on the walk although I noticed he was moving much slower than usual. It was almost like a slow shuffle for me to not get too far ahead of him.
On a related note, I was asked by Melanie to post about my "clever" trick for overnight bathroom breaks. I realized that setting an alarm in the middle of the night was totally disrupting my sleep pattern, yet Watson still needs to go out in order not to soak his bed. My solution is to chug at least 12-16 ounces of water before bed so that my bladder wakes me up, usually around 2-2:30am. As Mels pointed out, I probably sleep better since I am not nerved up about the alarm going off and this is a more natural way of waking up anyway. So when I need to get up and go, I wake up the Old Man too.
I've also devised a more natural way to get him out of bed. I bought some really stinky dried salmon strips from Paw Planet and, instead of peeling him out of bed, I wave it in front of his nose and he leaps out of bed for it. No lifting on my part, and he is quite happy to get a treat.
So sorry for posting about my bodily functions too, but Mels insisted on several occasions that it is not fair for me to post about Watson's business and not my own. Fine, I hope you are happy now. =)
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Saturday, August 4, 2007
Waking up with the sun...
So, I am not a morning person... less so if I am being awakened by the sad whining of a baby basset from downstairs. Once again, I have started off my morning with poo. Perhaps it's sympathy poo, but for some reason, Waldo's having issues. I think I should rename this blog to have it more to do with canine bodily functions rather than canine lymphoma.
Anyway, the Old Man had another good night. He had one bathroom break at 2am and then slept until we all got up at 6:30am. I can't wait until he is off the Prednisone so we can all get a full night's sleep.
Just got a call from the vet re: CBC results. Red blood cell and white blood cell counts are low but not in the critical zone. His WBC dropped from 22,000 to 3,600 (below 1,500 would be bad) and his RBC dropped from 43 to 32 (20 is of concern). The simple explanation is that it means the chemo drugs are working. As the vet said, the good news is we have a comfortable dog whose BMs are under control and who is eating/drinking well. Gaining weight during chemo can mean a longer prognosis too. He stressed again that he can't predict a timeline, but I think that every day Watson is comfortable, happy and eating is good enough for me. I can't help but take it one day at a time.
I was listening to "Fresh Air" on NPR a few days ago and they were talking about anticipatory grief (in relation to the families of soldiers deployed in Iraq) and how the spouses would tend to imagine life without their husbands or wives, or how they would envision the funeral and how much they would miss him/her. Although Watson's illness doesn't compare to the trauma of having a family member deployed to a war zone, I could relate to anticipatory grief..... After his diagnosis, that grief nearly drove me insane for 2 weeks.... I didn't eat and could barely sleep thinking about life without him by my side everyday. But then I had to put it aside because I was living in the future and there is no use going through it twice. So now every time I look into his brown eyes and see the Old Man in there, I know that this very small slice of time is wonderful.
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